MEDICARE: JULIEANNE LAURENTE CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	APRN11039185	FL

General Provider Information

NPI Number	:	1225410574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIEANNE LAURENTE CRNA

Provider Business Mailing Address
First Line	:	16766 SW 36TH CT
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4553
Country	:	US
Telephone Number	:	954-812-0117
Fax Number	:

Provider Business Practice Location Address
First Line	:	11011 SHERIDAN ST STE 106
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1501
Country	:	US
Telephone Number	:	954-435-0101
Fax Number	:	954-435-0125

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	12/03/2025

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